| NPI | 1174700413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD 20141) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 2305202035) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2013-03-27 |