| NPI | 1255719324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 1021270) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 83833) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2024-09-20 |