| NPI | 1790005783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD450491) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MT197587) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2017-04-05 |