NPI | 1679682769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CA A83541) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A83541) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-05-22 |