| NPI | 1790147841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AR E-13073) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2023005040) |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2023-12-07 |