NPI | 1174751598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA C202377) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 261307) |
208100000X Physical Medicine & Rehabilitation (Licence: CT 56359) | |
208100000X Physical Medicine & Rehabilitation (Licence: PA MD473321) | |
208100000X Physical Medicine & Rehabilitation (Licence: NE 29657) | |
Enumeration Date | 2009-06-24 |
Last Update Date | 2025-06-30 |