| NPI | 1124037882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD H0068125) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MT 11167) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2010-10-15 |