NPI | 1669748687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 288716) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 107036) |
208100000X Physical Medicine & Rehabilitation (Licence: MN 56925) | |
Enumeration Date | 2012-03-23 |
Last Update Date | 2021-11-12 |