| NPI | 1306898556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IA 29868) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: IA 29868) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IA 29868) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-06-11 |