| NPI | 1073798732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 56007) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 238510) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MB08769800) | |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2022-03-13 |