| NPI | 1275746836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 050857) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 34.009963) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2018-09-04 |