NPI | 1316326366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: TX S6329) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX BP20056781) |
Enumeration Date | 2015-05-22 |
Last Update Date | 2022-01-04 |