| NPI | 1184659740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 69249-20) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 234401) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-07-18 |