| NPI | 1255694550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 283324) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252001) |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: MA 283324) | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: RI DO00864) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2022-12-19 |