| NPI | 1124413794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 68226-20) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 6163-851) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2019-09-13 |