| NPI | 1083022313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 295744) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 31401R) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2023-04-28 |