| NPI | 1225056633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PR 11318) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME65192) |
| 208100000X Physical Medicine & Rehabilitation (Licence: KY 27978) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |