NPI | 1063571420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN MD45043) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 230573) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2011-11-14 |