NPI | 1003349663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: TX T8979) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX T8979) |
Enumeration Date | 2017-04-10 |
Last Update Date | 2024-03-20 |