| NPI | 1518118975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 57016) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 390200000X) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2016-02-04 |