| NPI | 1083840763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA Os015953) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25mb09058200) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2012-07-20 |