| NPI | 1427671072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 69821) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IA R-11804) |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2021-07-27 |