| NPI | 1851561674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO DR-37110) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: CO DR-37110) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |