| NPI | 1689088635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 328456) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116027097) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: VT 162.0000168) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: VT 162.0000168) | |
| 207Q00000X Family Medicine (Licence: MN 68767) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: VT 162.0000168) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: VT 162.0000168) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2025-04-09 |