| NPI | 1588822282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.094189) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KY R1058) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2011-12-21 |