| NPI | 1881003317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 88903) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL UO3872) |
| 208100000X Physical Medicine & Rehabilitation (Licence: SC 51872) | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2021-05-18 |