| NPI | 1801428784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 047183) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA PT026620) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2021-08-27 |