| NPI | 1326097486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 98-352253-1204) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: UT 98-352253-1204) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 300888) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 300888) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2022-03-16 |