| NPI | 1679527154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 72718) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD422006) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2024-01-29 |