| NPI | 1003910563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX J7785) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 102684) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MN 49260) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2022-02-22 |