| NPI | 1023202819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PR 18136) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18136) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2016-11-30 |