| NPI | 1285364042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MT226911) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD494322) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2026-06-23 |