| NPI | 1467501759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NH 16441) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: ME DO2421) |
| 208100000X Physical Medicine & Rehabilitation (Licence: SD 5713) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-03-20 |