| 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 |