| NPI | 1518952886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2012-01403) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SC 95366) |
| 208100000X Physical Medicine & Rehabilitation (Licence: PA OS012401) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2026-06-08 |