| NPI | 1881986255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2013-02202) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 67981) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2017-02-23 |