NPI | 1285731588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: NV 17455) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301085174) |
2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: MI 4301085174) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-12-04 |