| NPI | 1003159674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 292907-1) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA ML60380159) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: IL 125.069781) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2023-07-11 |