| NPI | 1619785425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 40QB00363500) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA TE013290) |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2024-12-26 |