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 |