| NPI | 1174751598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD473321) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NE 29657) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MA 261307) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: CT 56359) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2023-07-31 |