| NPI | 1497164941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 81948) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS021615) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MN 73144) | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2025-09-05 |