| NPI | 1801054440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AR E-9529) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 070011) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2016-09-01 |