| NPI | 1386970960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 48212) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 255367) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2013-11-13 |