| NPI | 1538302179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 250584) |
| Additional Taxonomies | 208VP0000X (Licence: NY 250584) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2026-08-03 |