NPI | 1285977637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 290512) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CT 64492) |
Enumeration Date | 2013-04-04 |
Last Update Date | 2020-10-30 |