NPI | 1306005202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 69187) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL30874) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 69187) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: GA 69187) | |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: GA 69187) | |
Enumeration Date | 2008-06-05 |
Last Update Date | 2016-12-07 |