| NPI | 1417108440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 250671) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: NY 250671) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2012-10-24 |