| NPI | 1609869668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: NY 127668) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 127668) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2021-12-20 |