| NPI | 1831175819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ID M7342) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OR MD21541) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2013-02-20 |