| NPI | 1932586906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301501737) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2019-01293) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2023-05-09 |