| NPI | 1770539504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: NY 204326) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 204326) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2025-11-12 |