| NPI | 1437295151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 249121) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME94190) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2016-11-11 |