| NPI | 1174857247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine (Licence: PR 18734) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: PR 18734) |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL ME128372) | |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2024-07-15 |