| NPI | 1336857986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC P21187) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL 32768) |
| 208100000X Physical Medicine & Rehabilitation (Licence: SC 11094) | |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2024-03-07 |