| NPI | 1265400139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D87681) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: NY 223137-1) |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: MD D87681) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2024-05-21 |