| NPI | 1952371007 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI ND011544)  | 
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101011544)  | 
| Enumeration Date | 2006-01-23 | 
| Last Update Date | 2025-01-15 |