NPI | 1659659936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2015-01200) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX R2535) |
Enumeration Date | 2011-08-03 |
Last Update Date | 2017-08-01 |