| NPI | 1689963027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME127816) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WV 26683) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2022-05-02 |