| NPI | 1598924250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS10668) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 244404) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2014-10-14 |