| NPI | 1821086737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: NY 190003) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 190003) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2022-07-21 |