| NPI | 1881123388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TN 23122) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 23122) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2025-10-09 |