| NPI | 1356370589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: LA 025802) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA 25802) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2014-12-10 |