NPI | 1922208545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX P0457) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10029432) |
208100000X Physical Medicine & Rehabilitation (Licence: TX BP20031530) | |
Enumeration Date | 2007-07-22 |
Last Update Date | 2015-11-24 |