| NPI | 1750362018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PR 13109) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 13109) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2023-12-07 |