| NPI | 1447222765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS014841) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA MD225827) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2018-12-19 |