| NPI | 1235360926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD451035) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 264760) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NC 2012-00659) | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2026-03-01 |