| NPI | 1154312403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 34352) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2007-00545) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2010-04-07 |