| NPI | 1538142211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PR 3864) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 116129) |
| 208100000X Physical Medicine & Rehabilitation (Licence: GA 27482) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: MD D40759) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2016-04-05 |