| NPI | 1083956817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 3856) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101020279) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2023-04-09 |