| NPI | 1750673299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 265209) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0116024540) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2021-06-09 |