| NPI | 1194776898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO 43136) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101014247) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-06-19 |