| NPI | 1033637541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NJ 40QA02013300) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DC PT872138) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2023-10-25 |