| NPI | 1194386698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 96782) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4351044652) |
| 208100000X Physical Medicine & Rehabilitation (Licence: DC MD210011503) | |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2024-05-20 |