| NPI | 1174561781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: NJ 25MB05924900) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-07-08 |