NPI | 1265150858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 014532) |
Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: AZ PTA014532) |
Enumeration Date | 2022-08-19 |
Last Update Date | 2022-09-01 |