| NPI | 1467414300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 32511) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 38304) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2007-07-08 |