| NPI | 1689011405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 87896) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 67461) |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: IA DO-05546) | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: LA 331223) | |
| 207Q00000X Family Medicine (Licence: IA R-9752) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2023-12-06 |