| NPI | 1225272735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MB09594700) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS015929) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2019-04-02 |