NPI | 1679736714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: VA 0101269322) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 265956) |
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 265956) | |
Enumeration Date | 2008-07-09 |
Last Update Date | 2021-06-28 |