| NPI | 1548468150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D72778) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MT191350) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2019-09-09 |