| NPI | 1346668183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 65105) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 66340) |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2019-05-22 |