| NPI | 1437212768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: HI DOS-1153) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: HI DOS-1153) |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: WI 46479-021) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2010-06-01 |