| NPI | 1932441797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2022-01264) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101260746) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2023-07-31 |