NPI | 1659532471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX R5579) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA DO.000285) |
Enumeration Date | 2008-06-24 |
Last Update Date | 2022-01-26 |