| NPI | 1467457069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 24966) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 24933) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2019-05-21 |