| NPI | 1568507176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: DC MD046856) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD P20639) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-11-18 |