NPI | 1891094470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2018-02222) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01016522) |
208VP0000X (Licence: NC 2018-02222) | |
Enumeration Date | 2011-03-22 |
Last Update Date | 2025-06-09 |