| NPI | 1053431213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NE 34964) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX H3634) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2022-09-06 |