NPI | 1790078061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35123592) |
Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: OH 35123592) |
Enumeration Date | 2011-05-19 |
Last Update Date | 2021-12-27 |