| NPI | 1225171929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: MD D0084055) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX N9607) |
| 208100000X Physical Medicine & Rehabilitation (Licence: OH 35124167) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA A108599) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2022-07-21 |