| NPI | 1417151234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2011-00390) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SC 96084) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2026-02-17 |