| NPI | 1518386671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101024360) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: MI 5101024360) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2020-02-25 |