| NPI | 1366598013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM MD2011-0221) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KS 0430700) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2012-05-16 |