NPI | 1588009740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA09836100) |
Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 290336) |
Enumeration Date | 2013-05-01 |
Last Update Date | 2019-07-02 |