NPI | 1356774905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT25662) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD 24539) |
Enumeration Date | 2013-08-19 |
Last Update Date | 2013-08-19 |