| NPI | 1255892998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS20988) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0102208132) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-07-19 |