| NPI | 1043570880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MT 68128) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA DO-04988) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IA DO-04988) | |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2022-07-21 |