| NPI | 1487635108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 1691211) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1691211) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2024-05-17 |