| NPI | 1932143724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NH 6602) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VT 042-0006827) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-08-29 |