| NPI | 1063526952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NH 12721) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 217139) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2021-02-25 |