| NPI | 1689870750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR DO210290) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WV 2580) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WI 52236-24) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: CO 59109) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2022-06-08 |