| NPI | 1467991034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX U2255) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS021883) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2023-02-23 |