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 |