| NPI | 1649429986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: PA OS014409) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS014409) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2025-02-21 |