| NPI | 1720159940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS13550) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ MB063024) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2022-07-21 |