| NPI | 1063464451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: VA 0102049882) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 02001653) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-12-10 |