| NPI | 1528066610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MAO6231600) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NJ 25MAO6231600) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2007-07-08 |