| NPI | 1922414499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME140105) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 65962) |
| Enumeration Date | 2014-07-06 |
| Last Update Date | 2020-01-27 |