| NPI | 1366605362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301097750) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 254547) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2011-02-22 |