| NPI | 1982786869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: MI 4301070557) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: MI 4301070557) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301070557) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-11-11 |