| NPI | 1982664231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CO 30645) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO 30645) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-08-09 |