| NPI | 1649793944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PR 23284) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 23284) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2024-07-22 |