| NPI | 1518064534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KY TP560) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 80317) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-12-31 |