| NPI | 1225022007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA09378400) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD422794) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2023-11-24 |