| NPI | 1538119854 |
|---|---|
| Former Name | JENNNIE CORINNE REBECCA BAUBLITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: PA OS012356) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PA OS-012356-L) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2016-07-06 |