| NPI | 1689108524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CA A178755) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A178755) |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: KY 57941) | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: CA A178755) | |
| 207R00000X Internal Medicine (Licence: CA A178755) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2024-07-23 |