| NPI | 1891272100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT294967) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA PT023787) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NJ 40QA01583200) | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2022-01-03 |