| NPI | 1376905810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MT214303) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068562) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA11182300) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2022-02-21 |