NPI | 1811754609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 14355) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 27404) |
Enumeration Date | 2024-02-28 |
Last Update Date | 2024-02-28 |