NPI | 1750352886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 12071) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 40QA00596800) |
Enumeration Date | 2006-01-27 |
Last Update Date | 2024-03-25 |