NPI | 1972805141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX p4106) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY resident physician) |
Enumeration Date | 2010-11-22 |
Last Update Date | 2022-01-25 |