| NPI | 1447354162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME100471) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 035118) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MD D23310) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2009-10-02 |