| NPI | 1699988279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD427169) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SC 37390) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2021-05-27 |