NPI | 1437356094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA 135890) |
Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 258020) |
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA 135890) | |
Enumeration Date | 2007-06-28 |
Last Update Date | 2021-12-05 |