| NPI | 1811195191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 10311977-1205) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NH 15476) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2022-07-21 |