| NPI | 1083851158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA 60270433) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 030766) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2013-10-16 |