| NPI | 1629762612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX 2174849) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD A4639) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |