| NPI | 1235517566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 81113) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NE 1528) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2023-07-05 |