| NPI | 1588786958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD436512) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA mt189420) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2010-06-30 |