| NPI | 1225209257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MS 24966) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 265371) |
| 207R00000X Internal Medicine (Licence: GA 002755) | |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2021-10-08 |