| NPI | 1831221795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: MA 231050) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 231050) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2021-02-23 |