| NPI | 1669509048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 49650) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 049650) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2019-08-21 |