| NPI | 1467429746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA06727400) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA067274) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA06741000) | |
| Enumeration Date | 2006-03-04 |
| Last Update Date | 2020-12-15 |