| NPI | 1023302452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PR 018954) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18954) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2018-07-26 |