| NPI | 1659359776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 49375) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 46099) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2022-11-30 |