| NPI | 1982839106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 266632-1) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD44453) |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: MI 4301104184) | |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: NJ 25MA09985400) | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2019-11-05 |