| NPI | 1891960563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AR E-8534) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.099027) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2014-07-09 |