| NPI | 1295723443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA03530400) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: NJ 25MA03530400) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2011-04-07 |