| NPI | 1487827093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: ID PT-8371) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: UT 120505-2401) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2022-11-17 |