| NPI | 1952507097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0102204063) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS015857) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2021-02-27 |