| NPI | 1336798156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL MA89791) |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: FL MA89791) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: FL MA89791) | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |