| NPI | 1740318559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA03869900) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA03869900) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2024-03-12 |