| NPI | 1861482457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 224207) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PR 17060) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2011-05-09 |