| NPI | 1881014843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081H0002X (Licence: FL ME148167) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: ND PT15925) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2023-04-17 |