| NPI | 1235457409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101256644) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD P25277) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2018-06-19 |