| NPI | 1124361944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MB10244400) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS018881) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2018-03-17 |