| NPI | 1265482053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 04-28901) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 113971) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2012-09-24 |