| NPI | 1144513227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME113298) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2011-00309) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2012-07-17 |