| NPI | 1164492849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX N4446) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ MA07520900) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2023-05-11 |