| NPI | 1639584055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2019-01106) |
| Additional Taxonomies | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: NC 2019-01106) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2024-07-15 |