NPI | 1487978219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VT 042.0012945) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NH 16723) |
Enumeration Date | 2010-03-23 |
Last Update Date | 2022-01-07 |