| NPI | 1407896160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MA MA76458) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 76458) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-12-17 |