| NPI | 1699919290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MN 57409) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 62586-20) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MN 57409) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MN 57409) | |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2023-10-11 |