| NPI | 1417050923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD454978) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 248558) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2023-12-05 |