| NPI | 1043734205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AL 44100) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 57.029956) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2023-06-28 |