| NPI | 1659334498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA07929700) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA07929700) |
| 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: NJ 25MA07929700) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MA07929700) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NJ 25MA07929700) | |
| 2083S0010X Preventive Medicine, Sports Medicine (Licence: NJ 25MA07929700) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2016-02-05 |