| 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 |