| NPI | 1447394770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA05558100) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD039709E) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2018-08-13 |