| NPI | 1023403268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX V2815) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 286513) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2024-12-10 |