NPI | 1881721934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CO 36588) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO 36588) |
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CO 36588) | |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CO 36588) | |
Enumeration Date | 2007-02-27 |
Last Update Date | 2018-11-17 |