| NPI | 1912948548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2006-00044) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD D57887) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2012-10-15 |