| NPI | 1477963668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: RI MD17391) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 081521) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2021-01-21 |