| NPI | 1497878300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282E00000X (Licence: TX 1185580) |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital (Licence: GA PT007716) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-06-23 |