| NPI | 1770901621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ME MD29129) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 295542) |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX T4226) | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2025-03-13 |