NPI | 1548299530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: MA 226380) |
Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: MA 226380) |
207R00000X Internal Medicine (Licence: MA 226380) | |
Enumeration Date | 2006-07-02 |
Last Update Date | 2023-06-14 |