| NPI | 1215415914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: ID AT-665) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: ID AT-665) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |