| NPI | 1225126758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA md460060) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 241535) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2018-11-16 |