| NPI | 1437810074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 2305214807) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL 37234) |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX 1349579) | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-05 |