| NPI | 1518952886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2012-01403) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS012401) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2016-11-23 |