| NPI | 1740265453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR MD17657) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: OR MD17657) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2024-04-17 |