| NPI | 1508481250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KY 05881) |
| Additional Taxonomies | 2081P0301X Physical Medicine & Rehabilitation Brain Injury Medicine (Licence: KY 05881) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2025-06-09 |