| NPI | 1366639395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NV 16243) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 210358) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2023-07-06 |