| NPI | 1518953967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AL MD.28695) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD D0055619) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2009-11-11 |