| NPI | 1306995865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WV 31368) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35073959R) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2023-09-05 |