| NPI | 1265710917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NE 2325) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SD 1232) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |