| NPI | 1093788028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KY 26931) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01037987A) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2012-06-27 |