| NPI | 1902904626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 183780) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY A183780) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-03-10 |