NPI | 1811169683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A14793) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO 51271) |
208100000X Physical Medicine & Rehabilitation (Licence: OR DO170157) | |
Enumeration Date | 2008-04-01 |
Last Update Date | 2024-10-21 |