| NPI | 1285977637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| 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 | 2025-11-24 |