| NPI | 1023559275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 202303247) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA 328333) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-12-13 |