| NPI | 1134434533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0102203320) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2010-01272) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2013-02-12 |