| NPI | 1982674792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2008013750) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KS 04-33999) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MO 2008013750) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2022-08-04 |