| NPI | 1053799031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 69535) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: UT 10105522-1205) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2021-08-18 |