| NPI | 1497164941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 73144) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS021615) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2024-08-15 |