| NPI | 1386821270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX N5658) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 2774) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2022-03-08 |