| NPI | 1457519126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: NY 268070) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 260807) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 268070) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2014-11-05 |