| NPI | 1285612184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 141756) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: NY 141756) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2022-12-19 |