| NPI | 1639251515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD459902) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301074888) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2022-03-03 |