| NPI | 1023512373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 68910) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD477167) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-10-15 |