| NPI | 1982996393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 57506) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2010018313) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2020-09-17 |