| NPI | 1376592139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2010035953) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KS 0533193) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WI 48544) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2021-04-20 |