| NPI | 1376581835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 226282) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 226282) |
| 174400000X Specialist (Licence: NY 226282) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2021-03-02 |