| NPI | 1548404080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX S2189) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS015736) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2020-02-21 |