| NPI | 1598702342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME86239) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD417555) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2014-10-23 |