| NPI | 1497997761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 35710) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MT 157658) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2025-04-15 |