| NPI | 1063571420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN MD45043) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 230573) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2011-11-14 |