| NPI | 1801920418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2017011231) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD V2236) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-01-16 |