| NPI | 1467488296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: OH 35.057995) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35057995) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OH 35.057995) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: OH 35.057995) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2014-03-17 |