| NPI | 1194040535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN MD52177) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY none) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2015-03-17 |