| NPI | 1184939134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D0070932) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DC MD038847) |
| Enumeration Date | 2010-08-15 |
| Last Update Date | 2012-06-04 |