| NPI | 1497791669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: VA 0101231849) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: VA 0101231849) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2016-02-03 |