| NPI | 1215965686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO 32909) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: HI DOS-936) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-10-20 |