| NPI | 1396725057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 82409197) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA10013000) |
| 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: NY 82409197) | |
| 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: NJ 25MA10013000) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 82409197) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MA10013000) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2018-12-19 |