| NPI | 1518353838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 00399) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NE 29468) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NC 00399) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2024-08-14 |