| NPI | 1598956989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KY R0781) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2017039389) |
| 208100000X Physical Medicine & Rehabilitation (Licence: KS 32647) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2025-10-07 |