| NPI | 1144217167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KY 35879) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01052859A) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2010-02-23 |