| NPI | 1043502651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.128242) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD453987) |
| Enumeration Date | 2011-05-15 |
| Last Update Date | 2016-07-15 |