| NPI | 1336146794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX M5241) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DE C10004355) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2013-01-08 |