| NPI | 1922253889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 15603) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301052548) |
| 208100000X Physical Medicine & Rehabilitation (Licence: OH 22840) | |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |