| NPI | 1831323732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL OS14566) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS14566) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: SC 37705) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 266884) | |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2018-01-24 |