| NPI | 1780332205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0102208036) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102208036) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2026-10-01 |