| NPI | 1548701998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 84417) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.1458421) |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2024-10-01 |