NPI | 1730124231 |
---|---|
Former Name | JENA SCHLIITER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: WA MD00032739) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00032739) |
Enumeration Date | 2006-06-18 |
Last Update Date | 2015-11-04 |