NPI | 1780904672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D0050817) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DC MD21799) |
Enumeration Date | 2010-06-02 |
Last Update Date | 2010-06-02 |