| NPI | 1366750168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: GA 079097) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 079097) |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: GA 79097) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2021-04-30 |