| NPI | 1447518386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS20366) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA DO.000419) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: LA 5101020137) | |
| Enumeration Date | 2012-04-29 |
| Last Update Date | 2025-03-10 |