| NPI | 1861643140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101249861) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 57014220) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2023-03-09 |