| NPI | 1255719324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 325621-01) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 83833) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MA 1021270) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: WA OP61672550) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2025-03-19 |