| NPI | 1336233691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 64631) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 226044) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-12-28 |