| NPI | 1639185135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AR E0983) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: AR E0983) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-03-14 |