| NPI | 1962415018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A94331) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 228967) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2023-01-17 |