| NPI | 1538355615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 005098-1) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 009526-1) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |