NPI | 1154974897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 67414) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.135889) |
Enumeration Date | 2019-07-22 |
Last Update Date | 2020-08-14 |