| NPI | 1295086643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 306184) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NE 30232) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2022-12-16 |