| NPI | 1083759690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO 0048104) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD P20454) |
| 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101257329) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-12-27 |