NPI | 1265403760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2008-01112) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME85242) |
Enumeration Date | 2006-02-01 |
Last Update Date | 2011-04-08 |