| NPI | 1497067250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine (Licence: MO 2014008612) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2014008612) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2024-04-10 |