| NPI | 1538368006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301090505) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MI 4301090505) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301090505) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301090505) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2016-07-23 |