| NPI | 1053435198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D71162) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301087299) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2014-07-23 |