| NPI | 1477556454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NV 11657) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NV 11657) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2024-04-18 |