| NPI | 1902020647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX R4598) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 234463) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX R4598) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2022-11-02 |