| NPI | 1306291950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 288095) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NH 21462) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MA 288095) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NH 21462) | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2024-11-12 |