| NPI | 1407387749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 294859) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: UT 10964153-1205) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2022-09-07 |