| NPI | 1598031668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 288435) |
| Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine (Licence: NY 288435) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 288435) | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2023-07-26 |