| NPI | 1336647544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 11-05006) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SC 8807) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |