| NPI | 1972765667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX N8571) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX N8571) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2023-06-30 |