NPI | 1912170739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AL MD.28998) |
Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: AL MD.28998) |
2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: GA 061393) | |
208100000X Physical Medicine & Rehabilitation (Licence: GA 061393) | |
Enumeration Date | 2008-04-12 |
Last Update Date | 2024-01-23 |