| NPI | 1952334211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME89010) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME89010) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2011-08-31 |