| NPI | 1720050396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VT 042.0016636) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 81787) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2022-12-22 |