| NPI | 1740711787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 89659) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KY TP337) |
| 208100000X Physical Medicine & Rehabilitation (Licence: KY R4579) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: KY 55790) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-06-23 |