| NPI | 1619068947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: GA 067000) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX J8969) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: TX J8969) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2022-01-10 |