| NPI | 1669622080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: NY 256760) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: NY 256760) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2012-04-09 |