| NPI | 1184034316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MB11038900) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS020493) |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL UO3786) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2021-05-13 |