| NPI | 1356646111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 108878) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 265273) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2020-11-10 |