| NPI | 1750578035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL OS10120) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS10120) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL OS10120) | |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2024-02-12 |