| NPI | 1245285923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 82173) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OR MD151658) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-09-12 |