| NPI | 1144251893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA09606500) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 178853) |
| 208D00000X General Practice (Licence: NY 178853) | |
| 208D00000X General Practice (Licence: NJ 25MA09606500) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-06-05 |