| NPI | 1801000526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME105632) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SC 31377) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2016-11-10 |