| 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 |