| NPI | 1558335794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.126956) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD421502) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-03-04 |