| NPI | 1669748687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 288716) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 107036) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MN 56925) | |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2021-11-12 |