| NPI | 1649279308 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME67678)  | 
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME0067678)  | 
| Enumeration Date | 2005-07-15 | 
| Last Update Date | 2020-11-24 |