| NPI | 1346845872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 314736-01) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD D0090777) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2023-06-29 |