| NPI | 1386665636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: PA MD428738) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD428738) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA08176700) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2022-02-15 |