NPI | 1255512141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 42251-020) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME83824) |
Enumeration Date | 2007-11-19 |
Last Update Date | 2015-12-02 |