NPI | 1487629739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2011-01899) |
Additional Taxonomies | 174400000X Specialist (Licence: PA OS012220) |
208100000X Physical Medicine & Rehabilitation (Licence: TX N2226) | |
Enumeration Date | 2006-02-21 |
Last Update Date | 2012-03-05 |