| NPI | 1164860235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 66357) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KY 53081) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2023-05-10 |