| NPI | 1477134930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AL MD.51794) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KS 04-51183) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2025-12-09 |