| NPI | 1457471377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MB0842700) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS014298) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2024-04-23 |