| NPI | 1649200759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D57935) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DC md035789) |
| 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101238518) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: PA MD427318) | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: PA MD427318) | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: NJ 25MA07153800) | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: PA MD427318) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2023-03-06 |