| NPI | 1962478859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AK MEDS2061) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AK AA2061) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2023-11-13 |