NPI | 1386810968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ME 2102) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MA 229603) |
Enumeration Date | 2008-05-05 |
Last Update Date | 2015-06-16 |