| NPI | 1376955088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA11213600) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD D86418) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2021-11-15 |