| NPI | 1245556117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.122325) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 58341) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2017-10-10 |