| NPI | 1245491455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25mb09346000) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS015923) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 276675) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2015-06-04 |