| NPI | 1588644983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IA 37973) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 47851) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2008-10-17 |