| NPI | 1407067796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 34.009837) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 58001574) |
| 208100000X Physical Medicine & Rehabilitation (Licence: OH 34-009837) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2013-04-15 |