| NPI | 1619905593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 73774) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AL 12655) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2023-04-27 |