| NPI | 1558552760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA08936400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 170892) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2018-03-17 |