| NPI | 1437343506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX V7059) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD444107) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2025-08-21 |