| NPI | 1043462153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D85126) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101267403) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2021-12-07 |