NPI | 1326426362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NV 294504) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2015-05-12 |