NPI | 1326145954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA 15662R) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 178162) |
Enumeration Date | 2006-09-17 |
Last Update Date | 2012-01-06 |