| NPI | 1174017750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 73127) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 73885) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2024-03-29 |