NPI | 1689108524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A178755) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A178755) |
208100000X Physical Medicine & Rehabilitation (Licence: CA A178755) | |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: KY 57941) | |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A178755) | |
Enumeration Date | 2017-04-18 |
Last Update Date | 2024-03-25 |