| NPI | 1457532228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME124242) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME124242) |
| 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.099628) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME124242) | |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2018-02-22 |