| NPI | 1366437790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 216637) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ MA070167) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2010-10-06 |