| NPI | 1780057109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD A4357) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO 0013672) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |