NPI | 1649215138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: AL DO.1051) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AL DO.1051) |
208100000X Physical Medicine & Rehabilitation (Licence: WI 49315) | |
Enumeration Date | 2006-06-18 |
Last Update Date | 2023-04-11 |