| NPI | 1336554245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: PR 21013) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PR 21013) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2019-07-19 |