NPI | 1891765079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OK 20734) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OK 06-1731541) |
2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: OK 20734) | |
Enumeration Date | 2006-01-23 |
Last Update Date | 2014-09-30 |