| NPI | 1871528356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35090666) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301074696) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-05-31 |