| NPI | 1689101149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: NJ 25MB11914800) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2023-08-29 |