| NPI | 1003457490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 7995) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2024-07-22 |