| NPI | 1205049475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 94013) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2016--00469) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2025-04-10 |