| NPI | 1114960911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME103398) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX K7631) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2009-07-16 |