| NPI | 1124656947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 329078) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101277897) |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2024-07-19 |