| NPI | 1699745828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ MB07408300) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ MB07408300) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2018-01-08 |