| NPI | 1730864752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM PT-2023-2204) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1152400) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-07-07 |