NPI | 1457592339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS11037) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS11037) |
207P00000X Emergency Medicine (Licence: FL OS 11037) | |
Enumeration Date | 2009-03-23 |
Last Update Date | 2024-07-26 |