| NPI | 1891745014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2005018218) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KS 04-31297) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2008-07-03 |