| NPI | 1578568549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME83950) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 201799) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2023-09-07 |