| NPI | 1306005202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 69187) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL30874) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 69187) | |
| 208VP0000X (Licence: GA 69187) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: GA 69187) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2016-12-07 |