| NPI | 1477871135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR DO160406) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA 0) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2024-03-18 |