| NPI | 1275094039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NV 25396) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TN 68259) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-07-29 |