| NPI | 1073573887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 49670) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IA 02381) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2022-11-17 |