| NPI | 1326128737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA08584900) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX L7878) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-07-21 |