| NPI | 1083737589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN DO02243) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101015750) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-06-25 |