| NPI | 1497936645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX N6265) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2007012257) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2018-06-04 |