| NPI | 1356836092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NH 24104) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NH 24104) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-09-28 |