NPI | 1730139304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MD D0064352) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD D0064352) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2023-03-07 |