| NPI | 1659532182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2009-01450) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101243677) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2021-05-06 |