| NPI | 1346242492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME108680) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA 062181L) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2022-09-19 |