| NPI | 1972587301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME150631) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 76314) |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: NC 2005-00724) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2023-08-02 |