NPI | 1265963193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: MI 5101026902) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101026902) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2024-11-05 |