| NPI | 1891017190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO DR.0052992) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 34009705) |
| Enumeration Date | 2010-02-27 |
| Last Update Date | 2015-12-21 |