NPI | 1386794493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: NC 0010-13861) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK 725) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2024-09-09 |