NPI | 1992812085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 46772) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME91960) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2023-09-19 |