| NPI | 1831304690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101013561) |
| Additional Taxonomies | 2081H0002X (Licence: MI 5101013561) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MI 5101013561) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2022-04-11 |