| NPI | 1427366673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD467850) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 81351) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2026-07-08 |