| NPI | 1619970365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 205802) |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: NY 205802) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 205802) | |
| Enumeration Date | 2005-05-25 |
| Last Update Date | 2021-04-02 |