| NPI | 1881037125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX R6060) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 007199) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2022-03-09 |