| NPI | 1871728972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME131125) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CT 52230) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2020-12-11 |