| NPI | 1902162415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX Q7988) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX Q7988) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2019-08-26 |