| NPI | 1487811055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MB08560100) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 236476) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2019-11-25 |