| NPI | 1285015719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 76227) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2015017270) |
| 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine (Licence: MO 2019022888) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2023-02-02 |