| NPI | 1881875862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: TX M1789) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M1789) |
| 207R00000X Internal Medicine (Licence: TX M1789) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX M1789) | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: TX M1789) | |
| 208D00000X General Practice (Licence: TX M1789) | |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: TX M1789) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: TX M1789) | |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2023-01-04 |