| NPI | 1083449607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT41868) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 050731) |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |