| NPI | 1851770093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 304640) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD467415) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2021-04-27 |