| NPI | 1790743342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME117366) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 074839) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2018-07-31 |