| NPI | 1598958118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL me114686) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AR 7089) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2015-04-22 |