| NPI | 1659356889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 52922) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 2331541) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA07805700) | |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2023-03-07 |