| NPI | 1972568558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME85055) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME85055) |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL ME85055) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2021-09-29 |