| NPI | 1386911766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA 334189) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KS 05-46887) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MT MED-PHYS-COM-LIC-123) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: TN 2968) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: MD H0083162) | |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2024-02-23 |