NPI | 1538368006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301090505) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MI 4301090505) |
208100000X Physical Medicine & Rehabilitation (Licence: MI 4301090505) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301090505) | |
Enumeration Date | 2007-07-16 |
Last Update Date | 2016-07-23 |