| NPI | 1902127582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 56005) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD D78189) |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: TN 56005) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2023-09-12 |