NPI | 1912143140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 61056) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: UT 8365775-1205) |
208100000X Physical Medicine & Rehabilitation (Licence: MN 52186) | |
Enumeration Date | 2008-12-17 |
Last Update Date | 2018-03-17 |