NPI | 1538178454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA MD.15144R) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME171266) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2025-01-09 |