| NPI | 1295269231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 69162) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: UT 10955724-1205) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2021-08-26 |