| NPI | 1659317824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA08096100) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA08096100) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 241250) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2024-02-12 |