| NPI | 1902942212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D69586) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD P19708) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2013-01-24 |