| NPI | 1821068735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101058556) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: VA 0101058556) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2022-07-21 |