| NPI | 1003301623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: NJ 25MA12616100) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2025-10-31 |