| NPI | 1811025349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM MD2008-0192) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC ac5385578-r995) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2009-03-11 |