| NPI | 1114047925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2026-03569) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS10310) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2026-07-31 |