| NPI | 1881630770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 227160) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ MA078677) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-08 |