| NPI | 1952749103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX R8385) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME121166) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX R8385) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2023-04-26 |