| NPI | 1760517288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 64242) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 154841) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2022-02-03 |