NPI | 1811284102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A120159) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: ME MD19174) |
Enumeration Date | 2011-07-07 |
Last Update Date | 2016-12-06 |