| NPI | 1639424252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: NJ 46TR00496100) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2019-01-31 |