| NPI | 1871026997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101281098) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2022-01999) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2024-09-17 |