| NPI | 1033574884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NV 3947) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IA 080531) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2019-10-03 |