NPI | 1487607420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2006007778) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KS 04-31903) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2023-09-29 |