| NPI | 1487799060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 194678-1) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: NY 197678-1) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2013-11-14 |