| NPI | 1588709448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD P18626) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS013041) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2017-11-29 |