| NPI | 1275984437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.142417) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT212061) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MT 132501) | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: MT 132501) | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: OH 35.142417) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2024-02-06 |