| NPI | 1063993954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO PTL.0016883) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 295421) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2021-10-19 |