NPI | 1609295179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation Spinal Cord Injury Medicine (Licence: KS 04-45244) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: UT 9560107-1205) |
2081P0004X Physical Medicine & Rehabilitation Spinal Cord Injury Medicine (Licence: MO 2021038408) | |
Enumeration Date | 2014-04-14 |
Last Update Date | 2025-05-29 |