| NPI | 1326145954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA 15662R) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 178162) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2012-01-06 |