| NPI | 1225613912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 043971) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD 26800) |
| Enumeration Date | 2021-03-14 |
| Last Update Date | 2021-03-14 |