| NPI | 1518908920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301065095) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 14019) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2025-09-29 |