| NPI | 1285778670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX Q7639) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.096055) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NM MD2020-0734) | |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2023-11-02 |