| NPI | 1942466222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60583816) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME113288) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2015-09-25 |