| NPI | 1609905017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM 94-387) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: NM 94-387) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2017-01-23 |