| NPI | 1629071253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 209959) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 209959) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 209959) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2019-08-26 |