| NPI | 1154306942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: NY 333969) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2023-07-05 |