| NPI | 1013993047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WV 29759) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101045890) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: VA 0101045890) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2021-09-24 |