| NPI | 1841466422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2010-00975) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 247894) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2016-06-06 |