| NPI | 1861796575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 256094) |
| Additional Taxonomies | 173000000X Legal Medicine |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2012-01-17 |