| NPI | 1326149246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101240995) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD D0064839) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-18 |