| NPI | 1679986459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MB11025400) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 295029-1) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NJ 295029) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2021-07-22 |