| NPI | 1891033783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 035778) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 43354) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2024-10-28 |