| NPI | 1487811782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 51157) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 103699) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2020-09-28 |