| NPI | 1669638060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301111068) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101248714) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MI 4301111068) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2016-10-20 |