| NPI | 1033161666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WV 20710) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.081228) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2014-09-03 |