| NPI | 1538189642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 240678) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: NY 240678) |
| 208VP0000X (Licence: NY 240678) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2026-05-06 |