| NPI | 1215195912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA 480045) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MS 21005) |
| 208100000X Physical Medicine & Rehabilitation (Licence: KY 44792) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: OH 35129881) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: CT 062950) | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: CT 062950) | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: PA 480045) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2023-05-16 |