NPI | 1467686444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX P6746) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX P6746) |
Enumeration Date | 2009-05-06 |
Last Update Date | 2019-11-25 |