| NPI | 1699087080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OH 35.124152) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.124152) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2016-03-03 |