NPI | 1649279308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME67678) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME0067678) |
Enumeration Date | 2005-07-15 |
Last Update Date | 2020-11-24 |