| NPI | 1033224985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D0036800) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101052229) |
| 208100000X Physical Medicine & Rehabilitation (Licence: DC MD17306) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-06-27 |