NPI | 1013924158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS019876) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: UT 180368-1204) |
2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: UT 180368-1204) | |
Enumeration Date | 2006-08-02 |
Last Update Date | 2019-03-29 |