| NPI | 1366611188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 241918) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A97210) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2012-07-10 |