| NPI | 1790904001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 34.011317) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 58001737) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2025-11-11 |