NPI | 1942466222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60583816) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME113288) |
Enumeration Date | 2008-08-05 |
Last Update Date | 2015-09-25 |