| NPI | 1306011135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MD D75116) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: VA 0101249480) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PA MD435220) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2013-04-10 |