| NPI | 1982326518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO PTL.0019211) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 302831) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2025-07-08 |