NPI | 1629636949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 321092) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11620) |
208100000X Physical Medicine & Rehabilitation (Licence: IA R-11620) | |
Enumeration Date | 2019-06-01 |
Last Update Date | 2023-06-13 |