| NPI | 1255710745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 63665) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0102206601) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2022-04-21 |