| NPI | 1609936202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD434793) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DC MD15938) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2018-02-14 |