| NPI | 1558491886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME102829) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 252645) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME102829) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2019-02-14 |