| NPI | 1376905810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NJ 25MA11182300) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA11182300) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: PA MD474918) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2026-03-19 |