| NPI | 1669634408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 54216-020) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WI 54216-020) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2021-12-17 |