| NPI | 1871311670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 049991) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TN 14400) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |