| NPI | 1053039404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL 41743) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA 61343198) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2024-06-14 |