| NPI | 1831365535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35099990) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MT 89201) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2021-03-22 |