| NPI | 1992707111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01084397A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD440148) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 191473-1) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-09-01 |