NPI | 1689107724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 65936) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 286864) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 65936) | |
Enumeration Date | 2017-04-05 |
Last Update Date | 2024-02-02 |