| NPI | 1700200748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MA 292321) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101259021) |
| 208100000X Physical Medicine & Rehabilitation (Licence: OK 292321) | |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2026-05-18 |