| NPI | 1790919876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 51557) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD445794) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2019-03-14 |