| NPI | 1740570761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 69160) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD455478) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IN 01082824A) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2023-06-28 |