| NPI | 1144273723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME127634) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 057788) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-03-17 |