| NPI | 1538555263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS18044) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 5812-851) |
| 208100000X Physical Medicine & Rehabilitation (Licence: CO DR.0064761) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2021-09-23 |