| NPI | 1407352891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX U5334) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101027011) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-03-06 |