| NPI | 1457811234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA11814200) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD477268) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-02-27 |