| NPI | 1780819318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: TX R1021) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 261505) |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX R1021) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 261505) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 261505) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2026-01-02 |