| NPI | 1033146949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2002018384) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KS 04-32205) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2025-09-30 |