| NPI | 1871736249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: OH 35.096104) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 53147) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2018-08-29 |