| NPI | 1235360926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2012-00659) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 264760) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2013-07-03 |