| NPI | 1417937996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35084273-D) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: OH 35084273-D) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2010-04-01 |