| NPI | 1558310300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301078628) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VT 042.0019135) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2025-12-10 |