| NPI | 1942543533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AL MD.38013) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL 141515) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 289534) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2019-09-16 |