| NPI | 1134208572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ID M-17779) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MT 10954) |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2024-07-08 |