| NPI | 1407274012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO DR.0068595) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 292370) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2022-08-01 |