| NPI | 1790071603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL OS12890) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS12890) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2024-01-25 |