| NPI | 1033116298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM MD2004-0500) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OR MD170730) |
| Enumeration Date | 2005-07-02 |
| Last Update Date | 2023-07-16 |