| NPI | 1780669119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ MA62845) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 186896 1) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2023-03-07 |