NPI | 1790738771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MD H63262) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD H63262) |
208D00000X General Practice (Licence: MD H0063262) | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2021-03-31 |