NPI | 1902812910 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: OH 34.004594) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WV 1380) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2023-09-22 |