| NPI | 1508048653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ME TD161017) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: ME TD161017) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2016-03-29 |