| NPI | 1164873758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO DR.0066343) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX BP20073156) |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2021-05-27 |