| NPI | 1780637405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 65361) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 226572) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-06-11 |