| NPI | 1356578710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301510627) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35120118) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MI 4301510627) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OH 35120118) | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: OH 35120118) | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: MI 4301510627) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2026-06-29 |