| NPI | 1225090210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA05923000) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 1833691) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2009-03-16 |