| NPI | 1689931222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101267207) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME133951) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2022-03-21 |