| NPI | 1215225230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 37732) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 919696) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2020-04-22 |