| NPI | 1609155233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA11031000) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 2670871) |
| Enumeration Date | 2011-08-13 |
| Last Update Date | 2025-06-16 |