NPI | 1790044220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MD H0078884) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD H0078884) |
Enumeration Date | 2012-05-03 |
Last Update Date | 2025-02-11 |