| NPI | 1487093357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 77685) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301103195) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2020-02-19 |