| NPI | 1902464795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS19420) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5151013418) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2024-07-01 |