| NPI | 1457381881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CO 44460) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX L3208) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2012-04-04 |