| NPI | 1013158427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME116270) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 251635) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA08531600) | |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2017-12-19 |