NPI | 1023302452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PR 018954) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 18954) |
Enumeration Date | 2011-06-02 |
Last Update Date | 2018-07-26 |