| NPI | 1790074490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: OR MD181084) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OR MD181084) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2023-05-08 |