| NPI | 1497921142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: DC MD039558) |
| Additional Taxonomies | 208D00000X General Practice (Licence: DC MD039558) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2014-07-18 |