| NPI | 1366970980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ME MD26276) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 319141) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PA MD473908) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A183357) | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2025-10-17 |