| NPI | 1942696737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX S7369) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OR DO191836) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2023-03-23 |