| NPI | 1710924741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN MD49047) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD420379) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-02-05 |