| NPI | 1841415858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 001966) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 001966) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2019-06-20 |