| NPI | 1891094470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2018-02222) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01016522) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 2018-02222) | |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2022-01-14 |