| NPI | 1538178454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME171266) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA MD.15144R) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2025-05-15 |