| NPI | 1003007055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 36775) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101241315) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2023-09-18 |