NPI | 1790016210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX 1160500) |
Enumeration Date | 2010-01-22 |
Last Update Date | 2010-01-22 |