| NPI | 1730117573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO 44447) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 228955) |
| 208100000X Physical Medicine & Rehabilitation (Licence: UT 6174926-1205) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-02-26 |