| NPI | 1619971462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KY 32957) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 32957) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2023-10-31 |