| NPI | 1669763041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR MD219372) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 078051) |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: OR MD219372) | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: OR MD219372) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2024-08-14 |