| NPI | 1982272902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PR 024190) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4351048378) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2025-06-17 |