| 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 |