| NPI | 1932150091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 182441) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 47294) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2021-07-15 |