| NPI | 1114414810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM MD2024-0407) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD D94652) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-05-14 |