| NPI | 1437853413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 7949-23) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-09-23 |