| NPI | 1689468829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2025010067) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KS 11-07809) |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-04-04 |