NPI | 1467913111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX T0018) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 693367) |
Enumeration Date | 2019-03-26 |
Last Update Date | 2025-10-10 |