| NPI | 1831255843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS22048) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS013733) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PA OS013733) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MB09018500) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2025-07-16 |