| NPI | 1023265667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2015017623) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A13450) |
| 208100000X Physical Medicine & Rehabilitation (Licence: KS 05-38108) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2015-09-01 |