NPI | 1316439094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NE 35572) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NE 8254) |
208100000X Physical Medicine & Rehabilitation (Licence: WI 9639-851) | |
Enumeration Date | 2018-05-30 |
Last Update Date | 2023-09-25 |