| NPI | 1629430475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AK 217958) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DC H0089110) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2025-08-01 |