| NPI | 1073612552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: HI DOS-907) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A6473) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2023-01-04 |