| NPI | 1750497541 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: FL OS19082)  | 
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 51605-21)  | 
| Enumeration Date | 2006-08-22 | 
| Last Update Date | 2024-11-05 |