| NPI | 1316439094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NE 35572) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NE 8254) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WI 9639-851) | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2023-09-25 |