| NPI | 1740259126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX K8191) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 167656) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2007-07-16 |