| NPI | 1285843185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME103415) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 238579) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MT 131789) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-04-01 |