| NPI | 1518306679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MO 2018003375) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2018003375) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2024-04-25 |