NPI | 1780958769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: MI 1018) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: VA 1018) |
Enumeration Date | 2012-03-08 |
Last Update Date | 2012-03-08 |