| NPI | 1588628283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NJ MA35788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA35788) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2007-07-08 |