| NPI | 1902127624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301106567) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 54076) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2021-03-31 |