| NPI | 1003010802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO DR-50353) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MT 57338) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-12-05 |