| NPI | 1215421979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS19884) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 34.015963) |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2025-09-04 |