| NPI | 1386923415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA09765200) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 268758) |
| Enumeration Date | 2011-08-07 |
| Last Update Date | 2015-10-20 |