NPI | 1548468267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A117409) |
Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: CA A117409) |
2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: CA A117409) | |
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA A117409) | |
Enumeration Date | 2007-07-03 |
Last Update Date | 2023-02-26 |