| NPI | 1124169040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301067486) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI AT67486) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2024-01-24 |