| NPI | 1811079791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101012846) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: MI 5101012846) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-11-04 |