| NPI | 1043462153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 54044) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101267403) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MD D85126) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2026-05-11 |