| NPI | 1942439054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A10542) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 02003514A) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2021-12-08 |