| NPI | 1548464811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PR 16082) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PR 16082) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PR 16082) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2017-03-23 |