| NPI | 1558439133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101015235) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: MD H72937) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-01-30 |