| NPI | 1912143140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 61056) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: UT 8365775-1205) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MN 52186) | |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2018-03-17 |