| NPI | 1669422473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 04-25286) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 105924) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2014-06-13 |