| NPI | 1609218650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 5MA10577500) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY A291951-01) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2021-11-23 |