| NPI | 1336135193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY A1791961) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY A1791961) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2008-01-10 |