| NPI | 1558554253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: NJ 25MB09133500) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MB09133500) |
| Enumeration Date | 2007-08-26 |
| Last Update Date | 2024-08-01 |