| NPI | 1457615049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301100764) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI N324115560354) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2018-12-31 |