| NPI | 1255512141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 42251-020) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME83824) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2025-10-03 |