| NPI | 1306811237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 191554) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 19155455) |
| 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: NY 191554) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2021-12-20 |