| NPI | 1891945366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 244895) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: MA 244895) |
| 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine (Licence: MA 244895) | |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2023-06-11 |