| NPI | 1689932501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KY 03977) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 34.012279) |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: KY 03977) | |
| Enumeration Date | 2012-04-28 |
| Last Update Date | 2020-07-13 |