| NPI | 1184744872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 54178-20) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 54178) |
| 208100000X Physical Medicine & Rehabilitation (Licence: PA MT189308) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2021-06-17 |