| NPI | 1427150663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2004012105) |
| Additional Taxonomies | 202K00000X (Licence: MO 2008024823) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2022-08-30 |