| NPI | 1902090335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2023-02787) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA DO.000018) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2024-01-03 |