| NPI | 1841259777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA 025430) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 025460) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2025-04-14 |