NPI | 1902805740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CT 040703) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 040703) |
208VP0000X Pain Medicine, Pain Medicine (Licence: CT 040703) | |
Enumeration Date | 2005-07-14 |
Last Update Date | 2024-11-01 |