| NPI | 1417537499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 14207070-1204) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 14207070-1204) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2025-07-03 |