| NPI | 1265093041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 280850) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R78218) |
| 208600000X Surgery (Licence: MA 280850) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2022-11-03 |