| NPI | 1689151250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 314693) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4351031835) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2022-12-24 |