| NPI | 1811457195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: MI 4301513050) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SC 89702) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-11-14 |