| NPI | 1912343823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 84058-20) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: ME MD22373) |
| 208100000X Physical Medicine & Rehabilitation (Licence: PA 84058-20) | |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2025-01-14 |