| NPI | 1669554713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA05347500) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD037091E) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-04-24 |