NPI | 1205960341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: LA 013753) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA 013753) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2008-06-30 |