| NPI | 1396282919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0102205679) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OT016149) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2024-06-26 |