| NPI | 1215425046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS021742) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DE C2-0024682) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2025-03-04 |