| NPI | 1235826785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA 11139) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL 39348) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |