| NPI | 1679552103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NJ 25MA05957600) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: NJ 25MA05957600) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2024-12-04 |