| NPI | 1265692545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 049516) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 244491) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2011-07-07 |