NPI | 1548673171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA FB6755992) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD P30072) |
208100000X Physical Medicine & Rehabilitation (Licence: MD H0090526) | |
208100000X Physical Medicine & Rehabilitation (Licence: DC DO034956) | |
Enumeration Date | 2014-06-11 |
Last Update Date | 2022-09-08 |