NPI | 1861796575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 256094) |
Additional Taxonomies | 173000000X Legal Medicine |
Enumeration Date | 2011-01-10 |
Last Update Date | 2012-01-17 |