| NPI | 1407436298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT36971) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-04-14 |