NPI | 1437212768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: HI DOS-1153) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: HI DOS-1153) |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: WI 46479-021) | |
Enumeration Date | 2006-12-18 |
Last Update Date | 2010-06-01 |