| NPI | 1811333602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 57.029753) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2014015391) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2017-08-10 |