| NPI | 1467530618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 48942) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI LL069193) |
| 174400000X Specialist (Licence: TN 48942) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2016-07-28 |