| NPI | 1831274828 |
|---|---|
| Former Name | AMBER RAE WENSEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AZ 5023) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 5023) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2015-10-19 |