| NPI | 1518455161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 1017228) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS022360) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2025-09-29 |