| NPI | 1356774905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT25662) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD 24539) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |