| NPI | 1467446021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX J6006) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: TX J6006) |
| 208VP0000X Pain Medicine Pain Medicine (Licence: TX J6006) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2021-06-09 |