| NPI | 1891765079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OK 20734) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OK 06-1731541) |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: OK 20734) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2014-09-30 |