| NPI | 1548558133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 307576) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A137779) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2023-09-15 |