| NPI | 1922275411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CA 20A12297) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 928051) |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: VA 0116023310) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2018-04-05 |