| NPI | 1306975156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2008-00643) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: NC 2008-00643) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2024-07-15 |