| NPI | 1750649372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 59476) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA 60652672) |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: TN 59476) | |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2022-03-22 |