| NPI | 1679779409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D0073349) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2007012244) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2018-11-20 |