| NPI | 1013918762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD058330L) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35077887G) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2021-02-24 |