| NPI | 1912113770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35092111) |
| Additional Taxonomies | 2081H0002X (Licence: OH 35092111) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-02-06 |